Active NPI
Amber Nicole Offutt, APRN
- Acute Care Nurse Practitioner
- Pine Bluff, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 218131
- Practice address
- 1600 W 40TH Ave
Pine Bluff, AR 71603-6301 - Phone
- (870) 541-8767
- Fax
- (870) 541-8761
- NPI assigned
- Jan 19, 2022
- Last updated
- Oct 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 218131 | AR | Primary |
Addresses
Primary practice location
1600 W 40TH Ave
Pine Bluff, AR 71603-6301
Mailing address
9030 Highway 79 S
Pine Bluff, AR 71603-1208
Phone (870) 883-0080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Hospital Association, Inc | Current | Accepting new patients | |
| Jefferson Hospital Association, Inc | Current | Accepting new patients | |
| Southeast Arkansas Hospitalists, LLP | Current | Accepting new patients | |
| Jefferson Hospital Association, Inc | Current | Accepting new patients | |
| Affinity Palliative Care of Arkansas | Past | Accepting new patients |
Locations
1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100
1600 W 40th Ave
Ste 3SW
Pine Bluff, AR 71603
Phone (870) 541-8767
1601 W 40th Ave
Ste 301
Pine Bluff, AR 71603
Phone (870) 541-4285
1609 W 40th Ave
Ste 403
Pine Bluff, AR 71603
Phone (870) 534-4188
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pulmonary Disease Physician
- Pine Bluff, AR
- NPI 1932157674
-
- Hospitalist Physician
- Pine Bluff, AR
- NPI 1912374018
-
- Rural Health Clinic/Center
- Crossett, AR
- NPI 1225799646
-
dba Family Health Associates of Southeast Arkansas
- Family Medicine Physician
- Pine Bluff, AR
- NPI 1497102040
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- White Hall, AR
- NPI 1740905553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1205588589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9030 HIGHWAY 79 S",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716031208",
"telephone_number": "870-883-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W 40TH AVE",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716036301",
"telephone_number": "870-541-8767",
"fax_number": "870-541-8761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OFFUTT",
"first_name": "AMBER",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-19",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AR",
"license": "218131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.